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Predictors of medication refill-seeking behavior in the ED
Adam H Miller1, Gregory L Larkin, Claudie H Jimenez
1Division of Emergency Medicine, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-8579, USA. adam.miller@utsouthwestern.edu
The American Journal of Emergency Medicine
|July 21, 2005
Summary
Presenting to the emergency department (ED) for medication refills is common among patients with chronic illnesses. Lack of medication information and primary care communication significantly increases this need.
Area of Science:
- Health Services Research
- Public Health
- Clinical Medicine
Background:
- Emergency departments (EDs) frequently encounter patients requiring medication refills.
- Chronic illness management presents unique challenges for medication adherence and access.
Purpose of the Study:
- To identify predictors of medication refill-seeking behavior in emergency department patients with chronic conditions.
- To understand factors contributing to ED visits for prescription refills.
Main Methods:
- A prospective, cross-sectional survey was conducted over six weeks in a high-volume public hospital ED.
- 1168 adult patients (over 18) on chronic medications for heart failure, diabetes, or hypertension were surveyed.
Main Results:
- 29% of surveyed patients presented to the ED for medication refills.
- Predictors included younger age (<50), non-Hispanic ethnicity, low income (<$5000/year), self-pay status, and lack of primary care physician (PCP) guidance on refills.
- Lack of refill or pharmacy contact information on medication bottles doubled the likelihood of ED visits for refills.
Conclusions:
- Medication refill needs are a significant driver of emergency department visits for individuals with chronic illnesses.
- Improved patient education on medication refills and enhanced communication with primary care physicians are crucial to reduce ED utilization.